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Heterogeneous Diagnoses Underlying Radial Ray Anomalies
Rosalba Sevilla-Montoya1, Mónica Aguinaga2, Alejandro Martínez2
1Departamento de Genética, Instituto Nacional de Perinatología, Montes Urales 800 Col. Lomas Virreyes, C.P 11000, Torre de investigación 2°, Piso, Ciudad de México, CP 11000, Mexico. rosalbasevilla@hotmail.com.
Radial Ray Anomaly (RRA) in newborns has diverse causes, including genetic conditions like Fanconi anemia. Early diagnosis through genetic testing is crucial, as associated defects significantly increase perinatal mortality.
Area of Science:
- Perinatology
- Medical Genetics
- Developmental Biology
Background:
- Radial Ray Anomaly (RRA) is a congenital upper limb defect with varied etiologies.
- Understanding the spectrum of diagnoses associated with RRA is critical for perinatal care.
Purpose of the Study:
- To review perinatal RRA cases at a tertiary care center.
- To identify the heterogeneous diagnoses and outcomes in RRA patients.
Main Methods:
- Retrospective review of 15 RRA cases over 18 months.
- Prenatal and postnatal detection rates were analyzed.
- Karyotyping and chromosomal breakage analysis were performed for diagnostic evaluation.
Main Results:
- Fifteen RRA cases were identified with diverse diagnoses including trisomy 18, monogenic diseases, and Fanconi anemia.
- High perinatal mortality (47%) was observed, particularly in cases with multiple defects.
- Fanconi anemia was diagnosed in four RRA patients.
Conclusions:
- Comprehensive assessment including ultrasound, clinical, genetic, cytogenetic, and molecular testing is essential for RRA patients.
- Chromosome breakage testing is recommended to rule out Fanconi anemia in RRA cases.
- Early and accurate diagnosis impacts management and prognosis for RRA.
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